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Update Your Alumni Records
Update Your Contact Information

Update Your Contact Information

Help us keep you informed about upcoming events and activities! We'll also make sure you receive the Connection alumni newsletter. A special welcome to Aultman School of Radiology alums. Please provide us with your contact information so we can add you to our database and help you connect with your former classmates.

Note: Form fields appended with the asterisk (*) are required to ensure the best possible response to your submitted information

Update Your Alumni Records

First Name*
Last Name*
Maiden Name
New Address*
City*
State*
Zip Code*
Graduation Year*
Email Address*
Phone Number*
Career News & Updates
Professional accomplishments you wish to share
Permission to publish in Connection Newsletter?*
Do you want to receive The Connection Newsletter?*
How should we contact you?*